DR. ADETAYO RICHARD ADEMUYIWA (M.D.) – Internal Medicine Physician, NPI 1407944911

DR. ADETAYO RICHARD ADEMUYIWA (M.D.) is a healthcare provider. based in Ukiah, California. specializing in PULMONARY DISEASE. They hold the professional credentials M.D.. They hold a License No. C186469 (CA). The NPI Number for DR. ADETAYO RICHARD ADEMUYIWA (M.D.) is 1407944911

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. ADETAYO RICHARD ADEMUYIWA (M.D.)
NPI
1407944911
Phone
(707) 467-3189
Address
232 Hospital Dr Ste A
Enumeration Date
10 October 2006
Last Update Date
30 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7074673189
Graduation Year
1998 (28 years ago)
PAC ID
8022033802
Group Practice PAC ID
3274580972
Professional Enrollment ID
I20230726003112
Address ID
CA954824562UK232XXDRXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,780 PULMONARY DISEASE in CA

Provider Addresses for DR. ADETAYO RICHARD ADEMUYIWA (M.D.)

  • 232 Hospital Dr Ste A

    Ukiah, CA 954824562

    Phone: (707) 467-3189

    Fax: (707) 462-0123

    Type: Location

  • 10651

    ST LOUIS, MO 63141

    Phone: (636) 999-9999

    Type: Location

  • Old Highway CC, Festus, River View Township, Jefferson County, Missouri, 63028, United States

    STE 2300

    FESTUS, MO 630284137

    Phone: (636) 937-3121

    Fax: (636) 937-4423

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 48 Open Payments records for all available years, with a total value of $1,190.

Total Amount is formed as General ($1,190) + Research ($0) + Ownership ($0) = $1,190.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($461).

Total Amount

$1,190

General + Research + Ownership

Payments

48

Total payment records

General Amount

$1,190

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-10-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20111115000028IPulmonary DiseaseMOTBD
I20230726003112IPulmonary DiseaseCATBD
I20240611003498IPulmonary DiseaseOHTBD
I20251015000661IPulmonary DiseaseWITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes424312$0
99204New patient office or other outpatient visit, 45-59 minutes167167$0
99213Established patient office or other outpatient visit, 20-29 minutes9490$0
94060Test to measure expiratory airflow and volume changes before and after medication administration8484$0
94726Test to determine lung volumes using sensors8484$0
View full utilization report →

Insurance plans in this area (ZIP 95482)

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Provider's Procedures

DR. ADETAYO RICHARD ADEMUYIWA (M.D.) performs procedures in PULMONARY DISEASE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PULMONARY DISEASEMO94060Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration1919

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3274580972View full group profile
NameSpecialtyState
Family PracticeCA
-CA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
-CA
-CA
-CA
O B S T E T R I C S/ G Y N E C O L O G YCA
Internal MedicineCA

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Frequently asked questions

What is DR. ADETAYO RICHARD ADEMUYIWA (M.D.)'s NPI number?
DR. ADETAYO RICHARD ADEMUYIWA (M.D.)'s NPI is 1407944911 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to DR. ADETAYO RICHARD ADEMUYIWA (M.D.)?
You should see DR. ADETAYO RICHARD ADEMUYIWA (M.D.) as active in CMS-hosted NPPES data.
What area of care is associated with DR. ADETAYO RICHARD ADEMUYIWA (M.D.)?
DR. ADETAYO RICHARD ADEMUYIWA (M.D.)'s record emphasizes Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in California is DR. ADETAYO RICHARD ADEMUYIWA (M.D.) registered?
Use Ukiah, California as the headline location for DR. ADETAYO RICHARD ADEMUYIWA (M.D.) here.
Can I trust this NPI listing for DR. ADETAYO RICHARD ADEMUYIWA (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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